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Re: 2 Quick Questions About Oral Contraceptives

From: anonymous@obgyn.net
Mon, 29 Jun 1998 16:18:52 -0500 (CDT)


At Mon, 29 Jun 1998, Peggy wrote: >
>Which oral contraceptive has the least incidence of depression?
>and
>Which one is most sucessful in treating endometriosis when taken continuously?

Unfortunately, it is not possible to answer this question. Birth control pills are kind of like toothpaste. All toothpaste works about the same to control cavities, but some taste a little better (or worse) depending on personal preferences. Birth control pills all work well to prevent unplanned pregnancy, yet they are tolerated a little better (or worse) depending on personal physiology. There is no "best" pill for acne, endometriosis, or treating depression. I usually prescribe a monophasic pill, such as lo-ovral, ortho-cyclen, ortho-cept, levlin, desogen, lo-estrin, etc. It's usually not critical which pill one takes, as long as it's taken as directed. If a problem develops on one pill, it is perfectly acceptable to switch to another brand. Sometimes this works, sometimes it doesn't. With the above said, all women's health care providers have their favorites, but if you pin them against the wall, they will usually admit, as I do, that it's because they have had good experiences with it, and not because of scientific evidence.

--
Ashley Hill
David Ashley Hill, M.D.
Associate Director
Department of Obstetrics and Gynecology
Florida Hospital Family Practice Residency
Orlando, Florida

The above information is provided for medical education only, and is not intended as specific medical advice. I am sorry, but due to time constraints, I am unable to answer personal e-mail.






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